Issaquah Eyeworks, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001730TX Issued in WA

Legal business name

ISSAQUAH EYEWORKS, LLC

Practice address

1145 NW Gilman Blvd # G-12
Issaquah, WA 98027-8974

Phone

(425) 391-9331

Fax

(425) 391-9331

NPI assigned

May 21, 2007

Last updated

Mar 18, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Leslie James Lung, O.D.NPI 1700995321

Title

Member

Phone

(425) 391-9331

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie James Lung, O.D.

  • Optometrist
  • Seattle, WA
  • NPI 1700995321
  Medicare reassignment Care Compare group NPD Authorized official
• Amy Zizhu Chen, OD

  • Optometrist
  • Tacoma, WA
  • NPI 1659116309
  Medicare reassignment Care Compare group NPD
• Brittany Kim NG, O.D.

  • Optometrist
  • Sammamish, WA
  • NPI 1467804864
  Medicare reassignment Care Compare group NPD
• Evan C Toy, OD

  • Optometrist
  • Issaquah, WA
  • NPI 1750256707
  Medicare reassignment Care Compare group NPD
• Teri Tsuchiya Yoshimura, O.D.

  • Optometrist
  • Issaquah, WA
  • NPI 1184751265
  Medicare reassignment Care Compare group NPD
• My-Lynn Dang

  • Student in an Organized Health Care Education/Training Program
  • Houston, TX
  • NPI 1578310108

  WA

  Medicare reassignment Care Compare group NPD
• Aida Mekouar, OD

  • Optometrist
  • Seattle, WA
  • NPI 1154661791
  Medicare reassignment NPD
• Kimberly Pandiangan, OD

  • Optometrist
  • Newcastle, WA
  • NPI 1992297493
  Medicare reassignment NPD
• Catherine Joan Tsang, OD

  • Optometrist
  • Auburn, WA
  • NPI 1316591720
  Medicare reassignment NPD
• Stacy Mayumi Taketa, O.D.

  • Optometrist
  • Seattle, WA
  • NPI 1235265547
  NPD
• Grace Jeng, OD

  • Low Vision Rehabilitation Optometrist
  • Oakland, CA
  • NPI 1952414054
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1699984310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 NW GILMAN BLVD # G-12",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278974",
            "telephone_number": "425-391-9331",
            "fax_number": "425-391-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 NW GILMAN BLVD # G-12",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278974",
            "telephone_number": "425-391-9331",
            "fax_number": "425-391-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAQUAH EYEWORKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "LUNG",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-391-9331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001730TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2033942",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integritas Services LLC
• Elizabeth Lake Irwin, PHD
• Nathan Ishii, DPT
• Isqh, LLC (University House, Issaquah)
• Issaquah Acupuncture and Herbs
• Issaquah Family Eyecare, PC
• Issaquah Foot & Ankle Specialists PLLC
• Issaquah Foot & Ankle Specialists, P.L.L.C.
• Issaquah Highlands Counseling Group LLC
• Issaquah Internal Medicine Associates, PLLC (Vicki Rouillard M.D.)

• Optometrist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.